"Boudin" inhalation: aʻo no ka hoʻohana 'ana, ano, haku mele' ana a me ka hōʻike manaʻo

Ma ka iapaau ana o bronchial asthma me ka agonist Hoʻokolohua-blockers i hoʻomano hoʻohana 'ana corticosteroids e emi i ke alapine (frequency) a me ka oolea o Episode o bronchospasm. I waena o kēia pūʻulu o ka ai 'o ia i "Boudin" no ka inhalation. ma ka noi o "Budenita" e manual he 'ike' ia ma ka hoʻohana 'ana i ka lāʻau, no laila mākou e uku mai i nebuliser Inc noonoo ana i ka noonoo ana o kona ki hiʻona a me oaoieei nuances o ka palapala noi.

Haku mele 'ana o ia hoʻi, "Boudin Steri-Neb" (mai paha)

Instruction Hōʻike i ka lāʻau o ka wehe no inhalation, devoid o ka waihoʻoluʻu a me ka ala, piha i loko o polyethylene hue o ka 2 ml, i loaʻa ka 1 mg (0.5 mg / ml) a 0.5 mg (0.25 mg / ml) ka hana 'Oponopono budesonide. Kēia mea pili i ka pharmacological pūʻulu o glucocorticoid hormones no topical palapala noi.

pharmacodynamics

I hoike o ka lāʻau "Boudin" ke aʻo no ka inhalation, budesonide (i ka papa kuhikuhiEʻeleu 'Oponopono) ua Anati-allergic, Anati-hoʻoʻino a me Anati-edema kanawai. Ma ka noho haumāna kahi kumuʻiʻo lipocortin? Iecaianoaaiiuo budesonide mai he inhibitory hopena ma phospholipase hoʻololi kemikala, i ka huli hele aku ai a hiki i ka emi ma arachidonicʻakika hoʻololi kemikala, ka ho'ēmiʻana i? Iecaianoaaiiuo o prostaglandins a me leukotrienes. Mau keʻano o ka hanaʻana ma ke kelepona hele kiʻekiʻeʻo ia i ka ho'ēmiʻana i loko o cytokine? Iecaianoaaiiuo, emi i ka poʻe Polenekia o macrophages, a alakai ai i ka emi ma ke kelepona hele infiltration. Ultimately keia hele aku ai i lalo, a pae o ka hoʻoʻino uao i Hōʻike 'ikaika ma ka noʻonoʻo bronchial asthma ho'āhewa wale a me ka noaaeeecaoee o kona lapaʻau papa.

I hoike o ka lāʻau "Boudin Steri-Neb 'aʻo no ka hoʻohana' ana, kona pololei, hoʻohana hiki aku ai a hiki i ka hoihoi hou ia ana o ka pā lonoaʻili o ka bronchial laau i ka ai ', dilates na bronchi. Kēia i loko o huli ho'ēmi i kā ka multiplicity o hope hoʻohana, ho'ēmi i kā ka nui o ka ua loaʻa sputum bronchial secretion, ho'ēmi i kā pā lonoaʻili i ka allergens, a hoi mai i ka maikaʻi ia ma luna o ka lapaʻau papa o ka maʻi.

Ka lāʻau 'ʻAʻohe mineralocorticoid haʻawina, a i ole systemic' ole ma muli o ke kaiakū hana, i emi ka alapine (frequency) a me ka oolea o kaʻaoʻao waiwai pono tolerated no ka hooloihi ae i hana.

E like me ka medicament o "Boudin Steri-Neb" manual, analogs o ka lāʻau, a ua pono tolerated a me ka mai ole i ka hanana o kaʻaoʻao 'ole pili me ka hoʻohana' ana i systemic corticosteroids.

Ma hope o ka hookahi palapala noi o ka pākōlea hookoia e hoʻomōhala ana i loko o kekahi mau hora, hiki i kā mākou olelo hope 1-2 pule ma hope o ka hoʻomaka o ka pono. Ka lāʻau 'hiki ke kuleʻa hoʻohana no ka Kāohiʻana o bronchial asthma physical stress, akā, ma muli o ia ka lōʻihi latent manawa, i ka hoouka kaua o ka pākōlea' ana kokoke i pono no ke kokua ana i huʻi olelo pili i bronchospasm.

Pharmacokinetics

Ka lāʻau 'Ua lawelawe iho la no ka hoʻohana' ana i ka nebulizer. Once ana budesonide ka ohu kikiʻo ma luna o ka ili o ka bronchial laau. About 15% o ka lāʻau ma muli o ke omo ma ka bronchial lumen komo ka systemic holo, a hou aku metabolized ma ka hoʻohana 'ana i cytochrome'ōnaehana iʻaneʻane AEeOEXAaI metabolites (lākou ha awina i i 100 mau manawa e emi ma mua o ka ha awina o ka hoʻomaka mea). About 70% o ka lāʻau ua excreted ma nā puʻupaʻa ma ka mea o, a ua excreted ma kahi o 10% ma ka liʻiliʻi.

nāʻikepili

E like me ka hoʻokumu paʻa lāʻau budesonide a me kona analogues i hōʻike ai no ka lapaau a me ka Kāohiʻana o ka asthma ho'āhewa wale, ka ineffectiveness o ka hoʻohana 'ana e wae Hoʻokolohua-adrenergic agonist no ka Kāohiʻana o ka maʻi a me ka noaaeeecaoee o lapaʻau kiʻi, e like me ka emi i ka pākōlea nā māhele o ka moʻolelo glucocorticoid konohiki. Ka lāʻau i ua hoʻohana ana no ka iapaau ana o stenotic laryngotracheitis a me ka maʻi obstructive pulmonary maʻi.

Contraindications

"Boudin Steri-Neb" (wehe no ka inhalation) ua contraindicated ma ke alo o ka allergic reactions i kekahi a oi eiiiiiaiou o ka haku mele 'ana o ka lāʻau', like hoʻi me nā keiki ma lalo o ka makahiki o 6 makahiki. Me ka malama nui i ka lāʻau 'ua hoakaka ia no ka pulmonary tuberculosis, i ke pio ana o naehana hanu mea hoʻomaʻi, mea koʻohune, fungal microflora, ke akepaʻa. 'ākeʻakeʻa i ka hoʻohana 'ana i ka lāʻau i loko o ke alo o infectious mai, kena ae la ia e kūloko immunosuppressive kanawai ma ka mucous i i ka hopena i loko o ka ka ho'ēmiʻana o ka'ōnaehana paleʻea pane a me ka maʻi ahulau Holomua.

ʻaoʻao waiwai

Aie i ka mea i ka lāʻau 'ua lawelawe ma ka inhalation ka hoʻohana' ana i ka nebulizer, ka pahiki o ka hanana o mucosal dryness o ka waha a me ka hoaka o ka Hawaiian Airlines, eha loa puʻu, aloha a me ka ukiuki loa, kaʻawaʻawa loa a me ka hana ono, hoarseness a hoarseness, cough. Kēia mea ma muli o ke subsidence mikrochastichek lāʻau ma luna o ka mucosal ili honua.

Muli o kona kulana kākaʻikahi malama kāna hana o ka'emi oihana, i hoike mai ai ia lakou iho i loko o ka palapala o ka nervousness, a mahuahua excitability o ka neuro-manaʻoʻike, 'ano' kāna hana, headaches. Eia kekahi, e hoomanawanui i ana "Boudin" i kekahi manawa i allergic reactions kaulana like urticaria, maneo a redness o kaʻili, spasm o bronchial malimali Muscle, a me ka hooulu ana o ka candidiasis o ku una ha i ka lua a me ka esophagus.

Ka hanana o paradoxical bronchoconstriction a me ka holumua ai dyspnea ma hope o ka hoʻomaka 'ana o ka mua mahele lāʻau ana ma muli o keʻano ukiuki o ka hana o ka lāʻau ma luna o airway mucosa. Me ka hooulu ana i kēiaʻaoʻao ole inhalation ka mea, ua pono e hooki aku, a, e hoonoho i kekahi koho Inc.

I loko nō o ka haʻahaʻa bioavailability o ka lāʻau a me kona puleʻAmelika, i nā waiwai, hooloihiia hoʻohana i hoʻomōhala systemic hopena o glucocorticoids. Keia; ua hoikeia mai inhibition hope o ka adrenal cortex, ka meheu o ka ulu i loko o na keiki, ke emi ma ka iwi mea pōhaku paʻapū, me ka hooulu ana o ka 'aʻe' ana o ka Hawaii.

Ma kekahi hihia (kākaʻikahi) e i ili ae hookaawale ia ka hoʻohana 'ana i ka nebulizer ea paha. I mea e pale aku i kēia complication E e hoʻohana disinfecting pāʻoihana no ka ea paha, a ma hope o inhalation o ka ili ma lalo o holo mehana ka wai. Oe ke i wehe i ka hoʻopilikia laholio poe hao wale e paʻa ana i ke ea paha ma luna o ka maka. A maikaʻi 'ano like ke malama i hoʻohana o ka waha'ōlelo a waha'ōlelo no ka inhalation.

E hoʻohana i ka hāpai keiki, a lactation

Na Ke Kumu ma "Boudin" ia kekahi i ka lāʻau e hoʻohana me ka mālama nui i ka hapai keiki o na wahine, a ka manawa breastfeeding (eia naeʻikepili ma o ka huina hoonui komo kaawale i loko o ka makuwahine o ka waiū). Ka lāʻau 'Ua pono ia e hoʻohana wale ia kona maika i ka makuahine ma mua o ka hiki adverse' ole a me nā complications i ka fetus. Pela ka mea, mea pono e hoʻohana i ka palena iki pono ka budesonide i loko o ka mahele lāʻau e leie no ka piha e hooponopono ana i ka maʻi.

Uluwehi O hana kūleʻa

Ma ka nui o ka AaOIeIOUIeXAOAaIN ma waena o nā mea lāʻau lapaʻau hoʻomanaʻo mea hana maʻalahi me ka isotonic pāʻoihana o ka paʻakai koloriside, e like me nā ana Hoʻokolohua-agonists, mucolytics a me expectorants. I mea e hoonui hopenaʻoi loa, a me ka pākōlea loa ma bronchial spasm maha ka noʻonoʻo ai 'mau pūʻulu i e waiho pu ia i loko o ke keʻena nebulizer. Ka Hōʻike bronchodilators ole wale hoonui ae i ke kahe ana o "Budesonide" ma bronchoalveolar lāʻau, akā, i ka poʻea pau i kona malalo iho anal i loko o ka lumen.

No ka mea, o ke komo o ka cytochrome P450 nā'ūhū pae i loko o ka pūnao o budesonide mahele lāʻau E e nānā 'ia ka hoʻohana' ana ai 'a e kaumaha ana paha haumāna kahi hope o ka'ūhū. 'Aʻole i paipai ami ana lāʻau me ka antifungal ai' e like me "ketoconazole" a me ka "Itraconazole", e like me ia e alakai ai i ka hua i loko o ka lehulehu o ka "budesonide" wai koko.

Medicaments a hoomahuahua i ka ha awina o ka microsomal nā'ūhū ( "Phenobarbital", "Phenytoin", "Rifampicin") ho'ēmi i ha awina "budesonide".

Dosing

Iwi na mea i hoʻohana, "Boudin" no ka inhalation. Na Ke Kumu no ka hoʻohana hōʻike i ka pono, e hana i kekahi nebulizer no ka lapaau. Ka lāʻau 'Ua waiho ia ma ka nebuliser manaʻo, a me ka inhales. Ka lōʻihi like 'ole o ka inhalation a me ka laʻau heluna E e kohoia ana ma kela a me keia hihia e lawe i ka mooolelo o ka lapaʻau ana o ke ahonui, a me ka oolea o ka maʻi i ka wa a ka hoʻohana' ana i ka lāʻau "Boudin" inhalation. Instruction no na keiki mai ka 6 mahina a hiki i 12 makahiki kuhikuhi mai la lakou a hiki i ka hookohu o ka budesonide palua he uuku laʻau heluna. No nā mea maʻi mua ma mua o 12 makahiki, i ka malama mahele lāʻau e e like pākahi.

Inā pono, "Budenita" me ka hui pu me ka moʻolelo glucocorticoid ai 'waiho e hoomahuahua i ka mahele lāʻau o "Budenita" no ka Kāohiʻana o ka hanana a me ka emi o ka oolea o kaʻaoʻao loa.

Reviews

Ana lapaau a me nā mea maʻi māʻona hopenaʻoi loa o ka lāʻau. Kēia Ua e hoikeike ai ma ka loiloi 'ia o ka (wehe' no ka inhalation Teva «Boudin" - he nani kaulana lāʻau) hoʻomanaʻo. A maikaʻi e pili ana i hanaʻia ma lalo mea hiki wale mai o kaʻaoʻao ona, a nui ka hoʻokō hana. Manao e pili ana i ka "Boudin" hoʻomanaʻo no ka inhalation na keiki (aʻo, ka laʻau heluna haawiia mai i loko o ka 'atikala) i' oluʻolu makuwahine, i ka i ku pono i ka mea haʻahaʻa mea hiki wale mai o kaʻaoʻao loa. Painless inhalation hoʻohana nebulizers (i hiki ke hana i loko o ka likeʻole ma o toys) i kahi mau keiki liilii no hoi i olelo mai ai i loko o ka lokomaikai o ka hoʻohana 'ana i ka lāʻau, a me kona analogues.

overdose

I ka huʻi overdose loa lapaʻau symptoms i malama. Lapaʻau mea symptomatic, a me ka abolition o ka lāʻau, a me ka hookohu o ka pōkole-ua hanaʻiʻo akula bronchodilator hana a type.

It E e kaʻikaʻiʻia ma ka manao ana me ka hooloihi ae i ana "Budenita" ma nā māhele nui loa sredneterapevticheskih e hoʻomōhalaʻaoʻao 'ole ma kekahi systemic pae (hypercortisolism, kaumaha o adrenal kuleana pili i). Kēia ka mea e hoikeike e "Boudin" inhalant aʻo. Kona uku mea loaʻa no ka lōʻihi-makahiki hoʻohana ana i ka lāʻau 'like me ka iniiaiie Inc no bronchial asthma.

Kaawale alakaʻi a me ka'ōlelo aʻo

Na Ke Kumu no ka hoʻohana ana i ka lāʻau "Boudin" wahi a i ka mea, ua ole ke hoʻololi i ka höʻike aku huʻi hoouka o bronchospasm. , Akā, ka mea hiki ke mahuahua ka awelika manawa o ka pākōlea hopena o ma kahi o 10 mau lā ma ke alo i loko o ka lumen o ka bronchial laau a he nui ka nui o ka h ÷ mucus secretion. Ma keia hihia ia mea hiki, e hooponopono i ka iapaau ana i loko o ka hui pu ana me ka moʻolelo glucocorticoid me mahope hoʻololi wale "Boudin Steri-Neb" inhalation.

Na Ke Kumu i ka lāʻau mai nei ia, eia nae ka pahiki o kaʻaoʻao 'ole ma o ka'ōnaehana pae ka nui papalalo, ia mea mau Kuleana e titrate i ka palena iki pono ka pākōlea mahele lāʻau no i kā mākou hopena. I ana i ka lāʻau i loko o na keiki me ka manao ana i ka mea 'eleu' ike o adverse loa e e mau kanaka hoʻoponopono i ke keiki i ka ulu ma luna o ka wā lōʻihi o ka manawa. Me ka hooulu ana o kaʻaoʻao 'ole e e hoemi ia i ka mea uuku ka hoʻokō mahele lāʻau, a leie aku ai i ka pāʻana ho'āhewa wale o ka asthma.

No ka mea Kāohiʻana o fungal nā mea palahēhē ma moʻolelo o ka lua o ka hoʻomanawanui e e hoʻomaopopo 'o ka pono, e holoiʻia ia i ka waha, a lawe aku residues ma hope o kēlā me kēia inhalation. Kēia paipai 'ia ka hoihoi hou ia ana o kūloko e hoʻonele a me ka moʻolelo mucous.

E noa ka hiʻona E hoʻohana

Inhalation "Budenita" ka hoʻohana kani ultrasonic nebulizers contraindicated. ʻO ka hoʻokō mahele lāʻau o ka lāʻau e ke pōpilikia e lawe i ka mooolelo o ka pau oaoieei-hiʻona o ka nebulizer (e lawe i ka mooolelo o ka lewa kahe ana, i ka buke o ka nebuliser a me ka 'ole. D.) A o ka hoʻomanawanui ka kulana.

Ma mua o ka hoʻohana 'ana i ka lāʻau "Boudin" inhalation nebulizer i loko o ka nebulizer aʻo mea OAXA E e? Anoee. Kēia e pakele i ka kūpono pilina o ka noonoo maalea, a me ka inefficient pono o ka lāʻau. Inā ka nebulizer ua hoʻohana 'ia no ka manawa mua, ka mea, ua? Aeiiaiaoaony e ho'āʻo ka hoʻohana' ana i kekahi physiological paʻakai koloriside pāʻoihana e hōʻoia 'kona operability, a ua laila, hoʻohana me ka ai'.

Ma mua o inhalation ka pahu hou ea ampule, ua wehe ia ma ka haehae pahu, ka lāʻau ua waiho ia ma ka nebulizer keena o ka nakeke, e kau ma luna o ke ea paha i ka maka (ole clamped waha'ōlelo) a hanai aku ai i ka lewa pele. Iloko o na inhalations ka hoʻohana 'ana i ka waha'ōlelo Pono e hanu wale nō ma kou waha (koʻu manaʻo ma luna o ka ihu kūikawā Clip). I ka hoʻohana 'ana i ka ÷ naehana hanu Approach noi kohoʻia ihu Clip.

No ka inhalation ka mea, ua waiho, e hoʻohana i ka nebuliser i ka nohona kiwikā mea i hoʻolako ka pahu kui o ke olonā i aerosol lāʻau 'ana i ka manawa o ka inhalation, a pani i ka mākeke o ka lāʻau i ka manawa o ka pau. Kēia maoli ka lāʻau haawi i bronchoalveolar lāʻau, a ho'ēmi i kā i ka lilo ana o ka lapaʻauʻia i exhalation.

"Boudin Steri-Neb": analogues, kuai

Uluwehi O analogues "Boudin Steri-Neb" e ai 'e like me "Pulmicort" a me ka "Pulmicort Turbuhaler", "Kortimen", "Tafen", "Budoster", "Budenofalk" a he nui' ē aʻe. Ma kēia mau ai ', e like me ia ma ka hoʻomākaukau "Boudin" inhalation, ke aʻo mea'ālike no a hiki i ke alo o ka mea ia hana' Oponopono. ʻIkepili kāki o ka ai 'hilinaʻi nui ma luna o ka hale kūʻai lāʻau lapaʻau ulana pukapuka, a me ka aina, i ka pono me ka laʻau heluna. Ma awelika, me ka uku papa koa, mai 650 a hiki i 2550 rubles.

ka hopena

Nui ka hoʻokō medicament no ka lapaau a me ka Kāohiʻana o ka ho'āhewa wale asthma mea "Boudin" inhalation. Na Ke Kumu i ka lāʻau, oia ke 'ike' ana i ka laʻau heluna a me na kumu o ka pono o keia k. Eia nae, budesonide palapala noi i loko o e like me ka olelo a me ka pono dosages o ka medicament e hoʻolako i ka hoʻokō lapaau. Inā no kekahi mea hiki ole oe e kuai i ka palapala, he mau analogues. "Boudin Steri-Neb" (ke kumukuai kuhikuhi oe i manawa ike), e hoola mai ia oukou, mai na maʻi mai o ka naehana nenoaiu.